Social Protection Interventions Research Articles

Gendered vulnerabilities in climate shocks: the role of social protection interventions

Abstract This review explores how climate change exacerbates gender inequalities and the potential of social protection programs to alleviate these impacts. It examines how women disproportionately bear the brunt of climate shocks and discusses pathways through which programs like public works initiatives, cash transfers, and social insurance can bolster women's resilience in this framework. Despite the potential of these programs, challenges such as implementation gaps and limited engagement of women in program design hinder the effectiveness of social protection programs. Limited research on the gendered effects of social insurance underscores the need for further investigation and gender-responsive policy interventions.

Exploring Synergies Between Community Mobilisation and Cash Transfers in Bangladesh

This article presents insights from the Child Labour: Action-Research-Innovation in South and South-Eastern Asia (CLARISSA) social protection cash plus intervention in a low‑income neighbourhood in Dhaka, Bangladesh. Adopting a novel methodology, we use community mobilisers’ monthly narrative reports, so-called ‘micronarratives’, to understand synergies between implementation and outcomes of community mobilisation activities (the ‘plus’) and cash transfers. We find that households face many intersecting problems, including health issues, low income, and indebtedness, and community mobilisation lays a foundation for households to be heard and become more resilient in the face of these problems. The introduction of cash transfers facilitated individuals and households to act on the advice and ideas offered by the community mobilisers. Households became more willing to speak with community mobilisers even when they explained that the cash transfer was unconditional on their counselling service. Some households started income-generating activities with their savings.

Perceptions of Beneficiaries of Informal Social Protection Initiatives in Uganda: An Exploratory Factor Analysis Approach

ABSTRACTInformal social protection interventions are instrumental in improving people's welfare through fostering income growth and enabling self‐sufficiency. Whereas the success of some informal social protection initiatives has been acknowledged and documented, there is limited knowledge of the factors influencing the performance of informal social protection initiatives, especially in developing countries like Uganda. In this study, we identify and isolate the perceived factors influencing the performance of informal social protection initiatives. We use exploratory factor analysis on a sample of 130 beneficiaries of two informal social protection interventions in the Alebtong and Kampala districts of Uganda. Findings reveal that the performance of informal social protection interventions is perceived to be influenced by three categories of factors, collectively accounting for 62.4% of the total dataset variance which is more than the threshold of 50%. The factors are beneficiary empowerment, welfare enhancement and coverage and equality. Each factor encompasses a cluster of variables that collectively capture the essential dimensions of individual perceptions concerning the effect of informal social protection initiatives. This research offers valuable insights into how the beneficiaries perceive informal social protection initiatives, shedding light on the nuanced factors contributing to their effectiveness in Uganda.

Do social cash transfers bridge the wellbeing gender gap in developing countries? The case of Ghana’s LEAP programme

ABSTRACT Gender inequality remains a significant problem in Ghana with many women socially and economically disadvantaged. Social protection interventions, in particular cash transfer programmes, have the potential to increase wellbeing and reduce gender gaps in poor households. This article analyses the wellbeing differences between men and women beneficiaries of Ghana's Livelihood Empowerment Against Poverty (LEAP) programme. Using a multiple regression moderation interaction model, we analyse six wellbeing dimensions (financial, health, education, food, housing and social) of 322 LEAP cash transfer beneficiaries in Ghana's KEEA district. We found that female-headed households achieve better wellbeing than male-headed households when LEAP income is paid at regular intervals. Regular LEAP payments also reduce gender gaps in wellbeing. These findings contribute to the design of policies seeking to bridge the wellbeing gap between men and women.

Living policy Labs: A case study of collaborative dialogue about social protection to alleviate grievances and facilitate peaceful outcomes in Egypt

Social protection may be regarded as the conduit for governments to end poverty (SDG1) and in turn maintain civil order/peace. However, how social protectionis conceptualized alongside poverty ideology (who/what causes it and whose responsibility it is to relieve it) can negatively impact the development of social protection programs to the extent that they do not meet the social and economic needs of beneficiaries/end-users. Underpinning these views are social and political dynamics that reflect a wide range of sometimes opposing interests and social divisions. Thus, social protection inadvertently risks becoming a conduit to conflict rather than peace. In this paper we report on a living policy lab (LPL) we developed in Cairo (Egypt) to help mitigate this risk. The aim of the LPL was to facilitate dialogue between various stakeholders to support collaboration towards policy-making. First, we present an in-depth review of extant literature, discussing the viability of a ‘living policy lab’ approach to social policy making in MENA countries such as Egypt that are susceptible to conflict. Using Egypt as our focus, we critically outline its evolution of non-targeted to targeted programs and initiatives to alleviate poverty, arguing that they have been reactive and piecemeal rather than thought through (except for the universal health insurance system). We then examine findings from a project in Egypt involving a series of interrelated living policy labs (2018–2019) on social protection reform that involved a range of social actors. The aim was to explore whether, as a design process, the approach might offer an alternative shared power model that facilitates agreed policy priorities and in so doing mediates peace. In this way, we add to the scholarship on social protection by considering to what extent new approaches to policy making in contexts of conflict can support more sustainable and peace-promoting social protection interventions. We end the paper by providing recommendations in terms of research, policy and practice particularly in relation tofuture possibilities for consultative design theory.

Food insecurity versus public health? Social resilience.

The health problems of low-income communities and their relationship to food insecurity are a widespread problem worldwide. Understanding the complex relationship between these two conditions of food insecurity and health outcomes is the focus of this study. In addressing these issues, managing food security and adopting comprehensive strategies that consider the broader public health of the poor and socially vulnerable requires a multi-pronged approach that integrates sustainable food systems, social protection interventions, community engagement, and nutrition-specific interventions. This study is useful for improving our understanding of the relationship between food insecurity and health outcomes, which ultimately contributes to better health and social resilience strategies.

Financial inclusion, socioeconomic shocks and social protection in Nigeria amidst COVID-19 pandemic

Financial inclusion and social protection have been recognised as the primary essential stimuli from the potential they carry as avenues for economic development, especially with respect to reduction in poverty and inequalities, the creation of employment and the enhancement overall welfare and livelihood. However, inclusive access to financial resources and equitable access to social protection interventions have remained a significant concern in Nigeria. In addition, the emergence of the COVID-19 pandemic exposed the weakness of Nigeria in all sectors of the economy such as energy, health, education and food systems and low-level inclusive access to financial resources and social protection coverage. On the other hand, this study argues that financial inclusion and social protection has the potential to mitigation shocks orchestrated by the COVID-19 pandemic. This study empirically examines how social protection interventions and access to financial resources responded to COVID-19 pandemic. The study made use of data sourced from the World Bank’s COVID-19 national longitudinal phone survey 2020 and applied the logit regression. The findings show that social protection and access to financial resources significantly associated with the likelihood of shock mitigation during the COVID-19 pandemic. The results show that social protection intervention reduces the probability of being severely affected by shocks by 0.431. Given this result, the study recommends that the government should put more effort into proper social protection intervention to mitigate the effect of the COVID-19 pandemic.

Gender disparities in lost productivity resulting from non-communicable diseases in Mexico, 2005-2021.

Non-communicable diseases (NCDs) cause long-term impacts on health and can substantially affect people's ability to work. Little is known about how such impacts vary by gender, particularly in low- and middle-income countries (LMICs), where productivity losses may affect economic development. This study assessed the long-term productivity loss caused by major NCDs among adult women and men (20-76 years) in Mexico because of premature death and hospitalisations, between 2005 and 2021. We conducted an economic valuation based on the Human Capital Approach. We obtained population-based data from the National Employment Survey from 2005 to 2021 to estimate the expected productivity according to age and gender using a two-part model. We utilised expected productivity based on wage rates to calculate the productivity loss, employing Mexican official mortality registries and hospital discharge microdata for the same period. To assess the variability in our estimations, we performed sensitivity analyses under two different scenarios. Premature mortality by cancers, diabetes, chronic cardiovascular diseases (CVD), chronic respiratory diseases (CRD) and chronic kidney disease (CKD) caused a productivity loss of 102.6 billion international US dollars (Intl. USD) from 2.8 million premature deaths. Seventy-three percent of this productivity loss was observed among men. Cancers caused 38.3% of the productivity loss (mainly among women), diabetes 38.1, CVD 15.1, CRD 3.2, and CKD 5.3%. Regarding hospitalisations, the estimated productivity loss was 729.7 million Intl. USD from 54.2 million days of hospitalisation. Men faced 65.4 and women 34.6% of these costs. Cancers caused 41.3% of the productivity loss mainly by women, followed by diabetes (22.1%), CKD (20.4%), CVD (13.6%) and CRD (2.6%). Major NCDs impose substantial costs from lost productivity in Mexico and these tend to be higher amongst men, while for some diseases the economic burden is higher for women. This should be considered to inform policymakers to design effective gender-sensitive health and social protection interventions to tackle the burden of NCDs.

Street Begging among School Age Children and Social Protection Policy in South western, Nigeria

This study discussed the factors that caused street begging among school age children and investigated social protection policies aimed at eradicating the menace in Southwestern, Nigeria. It also examined the impact of the social protection policies on street begging among school-age children and assessed the challenges confronting social protection interventions. The study’s primary data were sourced through multi-choice structured questionnaires and semi-structured interview guides. The study administered one hundred and fifty copies of questionnaires on teachers, parents, and school age children in Ondo, Oyo and Lagos States. Interviews were conducted with twelve 12 respondents on the basis of four from each state based on their experience of street begging by school-age children and social protection policies meant to tackle the menace. Purposively sampled interviewees were from ministries of education and schools, with two education officials from each of the three states and two school principals from each of the three states. Secondary data were from books, relevant journals, government publications, policy guides, gazettes, and online publications. We analyzed quantitative data with the use of descriptive and inferential statistical tools, and qualitative data with content analysis. The study showed poverty, unemployment, broken homes, and poor feeding and other factors as responsible for street begging among school age children. Some of the social protection policies that are in place to eradicate street begging by school-age children in Southwestern Nigeria include Zero Project, Better Education Service Delivery for All, Integrated Qur'anic and Tsangaya Education, and other domesticated policies of the federal government. Social protection policies in Southwestern, Nigeria are impactful in reducing street begging but poor funding, change in government, overstretched facilities, and corruption are some of the challenges militating against them. The study concluded that street begging by school age children in Southwestern, Nigeria is a social menace that requires intensification of existing social protection policies and serious government attention.

Persistent Food Insecurity and Material Hardships: A Latent Class Analysis of Experiences among Venezuelan Refugees and Migrants in Urban Colombia.

The causes and conditions of displacement often increase the vulnerability of migrant and refugee populations to food insecurity, alongside other material hardships. We aimed to examine the multidimensional aspects and patterns of food insecurity and other material hardships in a cross-sectional sample of 6221 Venezuelan refugees and migrants in urban Colombia using a latent class analysis. Using multinomial and logistic regression models, we investigated the demographic and migratory experiences associated with identified classes and how class membership is associated with multiple health outcomes among Venezuelan refugees and migrants, respectively. Approximately two thirds of the sample was comprised cisgender women, and the participants had a median age of 32 years (IQR: 26-41). Four heterogeneous classes of food insecurity and material hardships emerged: Class 1-low food insecurity and material hardship; Class 2-high food insecurity and material hardship; Class 3-high income hardship with insufficient food intake; and Class 4-income hardship with food affordability challenges. Class 2 reflected the most severe food insecurity and material hardships and had the highest class membership; Venezuelans with an irregular migration status were almost 1.5 times more likely to belong to this class. Food insecurity and material hardship class membership was independently associated with self-rated health, mental health symptoms, and recent violence victimization and marginally associated with infectious disease outcomes (laboratory-confirmed HIV and/or syphilis infection). Social safety nets, social protection, and other interventions that reduce and prevent material hardships and food insecurity among refugees and migrants, alongside the host community, may improve public health, support development, and reduce healthcare costs. In the long term, regularization and social policies for migrants aimed at enhancing refugees' and migrants' social and economic inclusion may contribute to improving food security in this population.

Combining social protection interventions for better food security: Evidence from female-headed households in Amhara region, Ethiopia.

Ethiopia introduced its flagship poverty-targeted social protection program, the Productive safety net program (PSNP), in 2005 and Community-Based Health Insurance (CBHI) in 2011. Although both programs operate in several districts with some overlaps, evidence is scarce on how these large-scale programs jointly affect the food security of vulnerable groups. This study examines the impacts of a combination of these programs on food security outcomes among female-headed households in a chronically food-insecure and drought-prone district. Cross-sectional data were collected from 365 female-headed households selected through multi-stage sampling technique and analyzed using Inverse-probability-weighted regression adjustment (IPWRA) strategy to assess the effect of the programs on food security. The results show that while 63.6% of sample households are enrolled in CBHI and 48.8% are beneficiaries of PSNP's conditional cash transfer (CCT) component, membership in both social protection programs was 38.9%. The IPWRA analysis finds that inclusion in the CCT combined with CBHI, on average, increased dietary diversity score by 0.918 (95% CI 0.779-1.057) and food consumption score by 0.576 (95% CI 0.464-0.688). It also reduced household food insecurity access scale by 8.658 (95% CI -9.775 - -7.541). In all assessments, a combination of CBHI and CCT always produced results of a larger magnitude than each of CBHI and CCT alone. The findings provide evidence of the potentials of integrating social protection programs to increase food security outcomes among the most vulnerable and marginalized groups in a developing country. In addition, the results have also useful implications to achieve sustainable development goals related to ending hunger and achieving food security among vulnerable groups.

Socioeconomic shocks, social protection and household food security amidst COVID-19 pandemic in Africa's largest economy.

Africa has been known to experience series of problems among which are poverty, food insecurity, lack of access to energy, lack of infrastructure among others. These problems were exacerbated by the COVID-19 pandemic, which has had a severe impact on the socioeconomic status of households in Africa. This paper examines the relationship between socioeconomic shocks, social protection, and household food security during the pandemic in Nigeria, the Africa's largest economy. Using the World Bank's COVID-19 national longitudinal baseline phone survey (2020) for the analysis and applied the multinomial logit regression, the study finds that socioeconomic shocks resulting from the pandemic have led to an increased level of food insecurity. Social protection programmes have played a crucial role in mitigating the impact of these shocks on households. However, the study also highlights the need for more targeted and effective social protection policies to ensure that vulnerable households are adequately protected from the adverse effects of the pandemic. The findings of this study have important implications for policymakers and stakeholders in Africa's largest economy, as they seek to address the challenges posed by the pandemic and promote household food security for the actualisation the United Nations (UN) Sustainable Development Goal (SDG) of food and nutrition security (SDG2). The study, therefore, recommends that efforts be made to preserve food supply chains by mitigating the pandemic's effect on food systems, increasing food production, and looking forward beyond the pandemic by building resilient food systems with the use of social protection interventions.

Feasibility of a social protection linkage program for individuals at-risk for tuberculosis in Uganda.

Social protection interventions have the potential to accelerate progress towards global tuberculosis (TB) targets. We piloted a screening and linkage program at four community health centers (HC) to enroll adults seeking TB diagnostic evaluation services into existing government-supported social protection programs in Uganda. From May-December 2021, health center staff were asked to screen adults being evaluated for TB for eligibility for government-supported social protection programs, and to refer eligible people to a sub-county community development office (CDO) responsible for enrolling community members into government-supported social protection programs. Linkage was facilitated with a transportation reimbursement via mobile money and referral documentation confirming program eligibility. We assessed feasibility using programmatic data and conducted post-intervention surveys to understand experiences with the linkage program. Of 855 people undergoing TB evaluation, 655 (76%) adults met criteria for at least one government-supported social protection program. 25 (4%) of those were not interested in referral; the rest were referred to their local CDO. While 386 (61%) of the 630 participants reported to the CDO seeking social protection enrolment, only 122 (32%) of those were ultimately enrolled into a social protection scheme, representing only 19% (n = 655) of those eligible. In surveys conducted among 97 participants, 46 of the 60 (77%) people who reported that they sought enrollment at the CDO were not enrolled into a social protection program. Reasons provided for non-enrollment among these 46 participants were either unknown (n = 25, 54%) or due to operational challenges at the CDO including a lack of human resources or available groups to join in the social protection program (n = 20, 43%). 61 survey participants (63%) indicated that they would not have sought social protection enrollment without the referral program. Overall, we found that most adults seeking TB diagnostic evaluation are eligible for and interested in obtaining government-supported social protection. We found facilitated linkage from HCs to CDOs offering social protection services to be feasible, however ultimate enrollment into programs was limited. Additional research is needed to identify strategies to improve access to existing social protection programs for eligible TB-affected individuals. Trial Registration: Pan African Clinical Trials Registry (PACTR201906852160014).

One for all and all for one: Increasing the adaptive capacity of households and communities through a public work programme

This article uncovers the mechanisms shaping the impact of the public work component of Ethiopia’s Productive Safety Net Programme (PSNP) on beneficiaries and communities’ food security and vulnerability to various shocks. Using three waves of a national representative household survey, this study provides quantitative evidence on the pathways through which the social protection intervention affects direct beneficiaries and their community peers. The empirical findings show that the PSNP beneficiaries are less likely to be food insecure and to experience harvest losses in the aftermath of droughts. Notably, the beneficial effects of the programme partially spill over to the direct participants’ community peers. This is likely to be due the nature of the public works implemented through the programme, such as the integrated community-based watershed development, including soil and water conservation measures and rangeland management in pastoral areas. Additionally, no significant impacts have been found when households self-report stresses unrelated to droughts. Our findings are expected to inform the debate on the effectiveness of the PSNP and other adaptive social protection programmes. From a policy perspective, they suggest the explicit integration of environmental and climate considerations into the design of social protection interventions targeting poor agricultural households highly vulnerable and exposed to weather shocks.

Effects of social protection programs on suicide mortality: a study in 81 LMICs between 2000-2019

Abstract By 2019, LMICs bore more than 77% of the global suicide burden worldwide. In addition, the consequences of the COVID-19 pandemic exacerbated the existing inequalities and social protection gap between high- and low- and middle-income countries (LMICs). The United Nations’ Sustainable Development Goals 2021 Agenda targeted, both, the promotion of social protection for all (target 1.3) and the reduction of suicide mortality by one-third (target 3.4) by 2030. These targets will not be met if current trends maintain. There is a lack of studies investigating the link between social protection and suicide in LMICs. This study aimed to help fill this knowledge gap by assessing the effects of social protection (SP) programs on the suicide mortality rates in 81 low- and middle-income countries (LMICs), over the period 2000-2019. Multivariable regression analyses using Poisson models were performed adjusting for relevant socioeconomic and healthcare factors. Robust standard errors and fixed-effects specifications were included to estimate the relationship between SP coverage and suicide rates. Our results showed that a 1% increase in the population covered by SP programs could reduce by 0.19% (IRR:0.83;95%CI:0.74-0.94) the suicide rates of the 81 LMICs over the 20 years studied. By disaggregating, the strongest suicide reductions were found among the youngest population of 10-24 years (a 0.21% suicide reduction when increasing SP coverage by 1%: IRR:0.81;95%CI:0.69-0.95). To our knowledge, this study shows for the first time in a large sample of LMICs, that social protection programs could reduce the suicide mortality in LMICs, especially among the youngest populations. Understanding the potential benefits that SP programs could have on reducing health inequalities in LMICs could guide policymakers to target more efficient interventions to prevent suicide and associated factors, quantify its public health cost, and create strategies to tackle stigma-related behaviors. Key messages • Promoting the expansion of social protection interventions could be an effective strategy to reduce the suicide burden over the next years in LMICs, especially among the youngest populations. • Advocating for the de-stigmatization and promotion of standardized methods to classify suicide should be a public health priority.

Social protection, community participation and state‐citizen relations: Evidence from a cash transfer program in south‐central Somalia

AbstractWe investigate whether social protection programs can increase participation in community‐driven development programs and examine how this affects state‐citizen relations. Using a randomized controlled trial in south‐central Somalia, we study the impacts of one‐time unconditional cash transfers to vulnerable households that were specifically designed to encourage participation in community development. While the cash transfer is relatively small as a share of annual household expenditure, it is more than sufficient to cover households' anticipated community development contributions. The transfers were funded by an NGO but delivered through state institutions. We collect survey data before and after the intervention with almost 600 individuals eligible to receive cash transfers. We find no substantial differences in participation in community development projects for cash transfer recipient households relative to non‐recipient households. However, we do find positive impacts of the cash transfers on citizen perceptions of clan elders and the local government. Our findings suggest that relatively small social protection interventions may face challenges in increasing vulnerable households' participation in community development and decision‐making, while also highlighting potential positive spillover effects for state‐citizen relations and beliefs about the capacity of local institutions where states institutions are involved in program delivery, even if they do not finance the program.

Evidences of Widespread Hunger in Gbeo Community, North East Region, Ghana; the Determinants of Malnutrition and Susceptibility to Extreme Hunger

Background: The global community aspires towards zero hunger and minimized prevalence of various metrics of malnutrition by 2030 and beyond. Despite mainstream routine nutrition/food surveillance interventions carried out by provincial, national and civil society bodies, the markers of global hunger are rife. This study sought to investigate with the aid of household food insecurity experience scale (HFIES) and nutrition indices, the evidence of hunger, child malnutrition and other forms of extreme household deprivation in Gbeo; a rural hard-to-reach community in the Mamprugu East Municipality, North East Region. Methods: This study was a case analysis of Gbeo community using cross-sectional modalities. Mother – child dyads from 235 systematically selected households were recruited for one-on-one interviews including anthropometric/dietary assessments. Data were obtained on household hunger (using HFIES as proxy), child (6 – 59 months) malnutrition and their potential predictors (SE characteristics, IYCF, WASH, etc.). Child anthropometric growth indices were computed in accordance with WHO (2017) revised standard protocols. Findings: Out of 235 children 34.4% were stunted, 18.8% underweight and 37.9% wasted; these are elevated above Ghana Demographic and Health Survey (GDHS) data for Northern Region, Ghana as a whole and WHO/UNICEF/World Bank (2021) latest global estimates. Four (1.8%) children had all growth failure and in 5.6% of cases, underweight co-occur with stunting and wasting. The proportion of HHs in the 3rd tertile [T3], 2nd tertile [T2] and 1st tertile [T1] of food insecurity were 33%, 29% and 38% respectively. Multiple logistic regression models showed that mean HFIES scores were higher among households that; has a female food-based decision maker [t (degrees of freedom=1, n=235) = 1.93, significance level p =.000], have not received any form of remittances within the past 12 months [t (1, 235) = 2.65, p = .016], source their food stuffs from predominantly purchasing [t (1, 235) = 2.65, p = .009] and has a caregiver or household head that is an alcoholic [t (1, 235) = 4.01, p = .000]. Conclusion: Food insecurity predicts acute child malnutrition. Social protection and economic empowerment interventions should be integrated with nutrition-based initiatives for holistic household improvement.

What matters most? A qualitative study exploring priorities for supportive interventions for people with tuberculosis in urban Viet Nam

IntroductionThe health and economic burden of tuberculosis (TB) in urban Viet Nam is high. Social protection and support interventions can improve treatment outcomes and reduce costs. However, evidence regarding optimal...

The impact of social protection interventions on treatment and socioeconomic outcomes of people with tuberculosis and their households: Protocol for a systematic review and meta-analysis.

Background: Tuberculosis (TB) is a leading cause of death due to infectious disease worldwide. People with TB and their households often suffer social and economic losses due to the cost of tuberculosis care. The World Health Organization 2015 End TB strategy called for socioeconomic support through social protection interventions. Social protection has the potential to enable people with TB and their households to break the cycle of TB and poverty, thereby improving both treatment and socioeconomic outcomes. This study aims to evaluate whether people with TB who are recipients of social protection interventions have better treatment and socioeconomic outcomes than those who are not recipients of social protection interventions. Methods: We will systematically review literature published in English between 2012 and 2021 from PubMed, Embase, and Web of Science, and grey literature from Google Scholar and selected, relevant databases. We will include studies that describe a social protection intervention (as defined by the World Bank) and report on TB treatment outcomes and/or socioeconomic outcomes. We will only include studies pertaining to populations in low-and-middle-income countries and/or countries with high TB burden. We will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality will be assessed using the Cochrane Risk of Bias for randomized controlled trials and the Newcastle Ottawa Scale for non-randomised controlled studies. If sufficient quantitative data are available, we will perform a meta-analysis of aggregated outcomes. Lastly, we will use the Grading Recommendations Assessment, Development, and Evaluation to describe the overall quality of evidence. Ethics and dissemination: Ethical approval is not required for this systematic review, as all data extraction and analysis will be conducted on published documents. We will disseminate this protocol through conference presentations. The systematic review has been registered prospectively in the PROSPERO database (registration number CRD42022382181).

Social Protection Interventions for TB-Affected Households: A Scoping Review.

Tuberculosis (TB) and poverty are inextricably linked. Catastrophic costs of TB illness drive TB-affected households into worsening impoverishment and hamper treatment success. The WHO's End TB Strategy recommends social protection for TB-affected households to mitigate financial shock and improve TB outcomes. This scoping review maps the landscape of social protection interventions for people with TB and their households in low- and middle-income countries with high TB burden. A systematic search of Medline, Embase, PubMed, and Web of Science for relevant articles was performed, supplemented with a gray literature search of key databases. Articles were included if they described social protection available to people with TB and TB-affected households in a low- or middle-income country. Data were synthesized in tabular form, and descriptive narrative outlined the successes and challenges of the social protection interventions identified. The search identified 33,360 articles. After abstract screening, 74 articles underwent full text screening, and 49 were included in the final analysis. Forty-three types of social protection were identified, of which 24 were TB specific (i.e., only people with TB were eligible). Varying definitions were used to describe similar social protection interventions, which limited cross-study comparison. Intervention successes included acceptability and increased financial autonomy among recipients. Challenges included delays in intervention delivery and unexpected additional bank transfer fees. A wide range of acceptable social protection interventions are available, with cash transfer schemes predominating. Use of standardized definitions of social protection interventions would facilitate consolidation of evidence and enhance design and implementation in future.